2. Case study

A man, 42 years old manager, active sportsman, without other heart problems. During a recreational soccer match suffered a knee joint injury with swelling and effusion; repeated puncture of the knee was performed. At the X-ray in his home country, there were no skeletal injury changes and symptoms of damage to cartilage. In the clinical examination, there were signs of knee instability evidencing damage to crucial ligaments and possibly meniscus. Brace was applied. This patient addressed Czech Medical Tours with a request for quick arthroscopic solution. On the day of arrival, we arranged MRI of the knee joint; the finding was the front crucial ligament rapture and partial rapture of meniscus. On the third day in the Czech Republic, surgery was performed in the arthroscopy centre; cruciate ligament-plasty and partial removal of meniscus were performed with standard post-operation progress. On the 7th day, the patient leaves after the check-up by the orthopaedist, who recommended rehabilitation treatment, which the patient prefers to arrange at his place of residency.

  1. X-ray of the knee joint
  2. MRI of the knee joint
  3. Entry examination by the orthopaedist – surgeon
  4. Internal pre-operation examination, ECG
  5. Laboratory analysis
  6. Arthroscopic surgery – cruciate ligament-plasty, meniscectomy
  7. Hospitalization for 2 days
  8. General anaesthesia
  9. Release examination by the surgeon, recommendations, medication

3. Case study

A woman 33 years old, active, no children, suffers from a headache of migraine type; it is connected with menstruation cycle, headache worsened lately. This woman has not yet been examined; she is using hormonal contraception. In the family anamnesis, we discovered that her mother suffered from deep vein thrombosis.

  1. Entry neurological examination
  2. Laboratory tests, coagulation, basic immunology analysis, thyroid gland screening, thrombophilia states screening
  3. MRI of the brain + extracranial and intracranial MRA
  4. Neurological examination - check-up, recommendations

4. Case study

A patient with a backache with radiation into lower extremity, he was treated for a long time at the outpatient health centre in his home country. X-ray was taken and local injections were applied, but it did not have an effect on the manipulation. Specialists for CZMT performed entry examination and excluded red flags, including laboratory tests (+ tumour markers), X-ray of the spine. After spine NMR, disc L5/S1 hernia was diagnosed. The conservative treatment with caudal epidural block resulted in 90% relief. Subsequent 7 day intensive rehabilitation on bed with the physiotherapist, who further instructs the patient and prepares individual exercise plan. The patient leaves the Czech Republic without pain and in a totally satisfactory condition.

  1. Entry examination with neurologist/algesiologist
  2. Basic laboratory tests, tumour markers
  3. X-ray
  4. MRI of lumbar spine
  5. Caudal epidural block with sonografic guidance
  6. Subsequent 7 day intensive rehabilitation with physiotherapist at the hotel on rehabilitation bed 

5. Case study

A man 52 years old, top manager, reoccurring chest pain, mild dyspnoea. In his home country, he was repeatedly examined at emergency - ECG without signs of ischemia, X-ray of the thorax with standard results. During the examination, the patient diagnosed with hypertension, which is treated with medicine (ACE inhibitor). This patient addresses CMT with a request; he is examined by a specialist in the field of cardiology, summary 12 ECG without pathological findings. After the stress test, finding on the back wall of myocardium discovered. Selective coronarography was performed and artery stenosis was found, stenting was applied. After the implantation of a stent, the patient had no difficulties, without dyspnoea.

  1. Entry examination with cardiologist
  2. Laboratory tests, cardio markers, coagulation, including thrombophilic mutations, lipidogram test
  3. Stress examination with the application of bicycle ergometrics, including the stipulation of anaerobic threshold
  4. Echocardiography
  5. The patient hospitalized for 3 days, out of this, for 24 hours at ICU
  6. Selective coronarography, it has to be complete
  7. Material – stent
  8. Examination by the cardiologist - check-up 

6. Case study

man 21 years old, at the age of 19, he suffered from an injury of thoracic spine after jumping into water with incomplete lesion of spine in the segment Th10. This injury was treated with surgery, decompression and stabilizations. During the check MRI after the surgery, the spinal cord without compression. In the area of spinal cord, there appeared signs of myelopathy with widening of the central spinal column. The patient suffers from clinically severe spastic paraparesis on lower extremities; he is on a wheelchair, mild disorder of perceptiveness distally from the umbilicus and on lower extremities, dysfunction of sphincter.

This patient contacted Czech Medical Tours with the request for application of stem cells. We arranged the consulting examination by neurologist, neurosurgeon, rehabilitation doctor, physio and ergotherapist. On the second day, intrathecal application of stem cells was performed without complications. Starting from the 5th day of the stay, an intensive rehabilitation care at the RHB clinic was started with the supervision of a neurologist. Urologic and urodynamic examination was carried out; the patient was released after 6 weeks, he was able to walk with the help of the physiotherapist, and by himself with French crutches with further proposal for care and rehabilitation at place of residence of the patient.

  1. Entry consulting examination - 5 fields
  2. Laboratory tests
  3. Implantation of autologous stem cells
  4. Rehabilitation stay for 6 weeks at the RHB clinic with intensive physiotherapy, exercise in the swimming pool, dynamometer examinations, ergotherapy, psychotherapy, training for routine daily activities
  5. Release consulting examination with recommendation for further care at the place of residence of this patient 

7. Case study

A man, 37 years old, manager, sportsman, suffered from fatigue syndrome that lasted for 5 months; anamnesis was otherwise negative. The finding started with long-term bronchitis; after 4 weeks, breathing difficulties eased off, progress of fatigue syndrome, temperature 37 - 37.5 C. Laboratory tests – chronic inflammation - chlamydia pneumoniae. During the therapy, dual combination of ATB applied and also immunoglobulins were repeatedly applied. After weeks of treatment, activities of chlamydia ceased, the patient is without difficulties.

  1. Examination by immunologist – entry
  2. Laboratory tests
  3. Application of s.c. immunoglobulins 2x
  4. Application of antibiotics
  5. Examination by immunologist – check-up 

8. Case study

A woman 25 years old, top-level sportsman. During a short period of time, she suffered from tonsillitis three times, and she was always treated with ATB. Subsequently, her performance decreased, she felt tired, and suffered from migratory pain in joints. This condition lasted for 4 months (she was fully training). In the laboratory tests, high level of EB virus – mononucleosis virus (EBV) activity was detected. The following procedure was applied: therapeutic treatment, immunotherapy, resting regime for 3 weeks, liver diet, and support of liver functions. In 8 weeks, the laboratory tests presented minimum activity of EBV. This patient was then able to make an excellent performance.

  1. Entry examination by the immunologist
  2. Laboratory tests
  3. Immunotherapy
  4. Liver support
  5. Examination by the immunologist - check-up

9. Case study

A patient, girl 5.5 years old, she was not growing well, and her weight was 14 kg. She was growing slowly, sometimes, occurrence of voluminous malodorous stool. The family anamnesis is negative. Other infections are on the minimum level. Immunology and alergology examinations were carried out, and she was diagnosed with coeliac disease and partial intolerance to the proteins of cow´s milk. After the start of a strict diet, the child grows and thrives well.

  1. Entry examination by the immunologist
  2. Laboratory tests
  3. Examination by the immunologist - check-up

10. Case study

Patient, a boy, 7 years old, after starting school, he suffered from reoccurring respiratory infections. During one year, he had 8 infections, out of this, 4 instances were treated with ATB. Examination of complete immunology, streptococcal antibodies; otolaryngology results evidenced mild decrease of cell and antibody immunity, positive antibodies of antistreptolysin O, and enlarged adenoids of third degree. Therapy: adenotomy, immunomodulation through winter months. This patient has not been ill for almost 2 years.

  1. Entry examination by the immunologist
  2. Laboratory tests
  3. Examination by otolaryngologist
  4. Rhinoscopy
  5. Adenotomy – removal of adenoids
  6. Immunomodulation
  7. Examination by the immunologist - check-up